NPI | 1942675350 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA MAE BROOKS Office Coordinator 314-503-1746 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2015009900) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2015-12-10 |